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Eur J Cardiothorac Surg 2001;20:849
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Aneurysm of the cardio–hepatic segment of the inferior vena cava

E. Tatoua, F. Cognetb, C. Renaud-Bolarda, R. Brenota

a Service de Chirurgie Cardio-Vasculaire, Hopital du Bocage, Dijon Cedex, France
b Departement de Radiologie et Imagerie Medicale Diagnostique et Therapeutique, Hopital du Bocage, Dijon Cedex, France

Received 14 March 2001; received in revised form 25 June 2001; accepted 11 July 2001.

Corresponding author. Tel.: +33-3-80293352; fax: +33-3-80293385
e-mail: etatou{at}ipac.fr

Three months after a violent road accident, persistent coughing led a 62-year-old woman to computed tomography scan (Fig. 1) examination followed by magnetic resonance imaging and cavography (Fig. 2) , which revealed an isolated fusiform aneurysm of supra hepatic inferior vena cava. This lesion is rare and one can discuss the traumatic or the congenital etiology. Surgical treatment is necessary in symptomatic cases.



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  		Fig. 1. Computed tomography scan: right side mass of 37 mm diameter (arrow).

 


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  		Fig. 2. Cavography: fusiform aneurysm of the supra hepatic inferior vena cava with normal connection to the right atrium (arrows: sus hepatic veins).

 




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